Process Recording

Orientation Phase
July 19, 2014
Prepared by:
Apurado, Kim B.
Barol, Bona Ruth
Submitted to:
Asst. Prof. Noyme Lour Abegil
L. Laviste
Demographic data:


Patients Name: Rodriguez, Romeo Age: 35 years old
Birthday: July 15, 1979 Sex: Male
Civil Status: Single Nationality: Filipino
Address: Narra, Bayawan City, Negros Oriental Religion: Roman Catholic
Date and Time of Admission: July 3, 2004 Occupation: None
Medications: Fluphenazine Decanoate cc Ward: Male Ward
Chlorpromazine 100mg BID
Diagnosis: Suicidal/Escape Tendency
General Impression (appearance upon first contact):
The client is alert, awake with eyes open and looks at the student nurses. He also responds appropriately and oriented to time, place, and
person. He appears to be stated chronological in his age with cooperative attitude and behavior. Furthermore, he is dressed appropriately for
the place and weather. The client has an erect posture with smooth, coordinated, and steady gait. Hygiene is good with clean skin and nails
trimmed. He establishes recurrent eye contact to the student nurses and smiles appropriately. His speech is clear with moderate pace and
comprehensible and expresses full and free-flowing thoughts and answers to questions are based on his rationales.
Seating arrangement:













Patient
R
KIM
B
O
N
A
Chair
C
h
a
i
r

Bench
Legends:

Student
Nurses
Patient
The patient interview provides the gateway to the health of the patient. Because it is both a science and an art, the skill of
interviewing will improve as you continue your training. Although psychiatric patients differ in some ways from medical and surgical
patients, seating arrangements and use of space by patients can provide valuable information to the nurse, clarifying not only the
nurses appraisal of the patient but also the way in which the nursing interventions should be implemented. That is why it is very
crucial to let the patient choose what seating arrangement and where he is comfortable at conversing, given that it is accessible to
both the nurse and the patient. Offering a choice of seating arrangements allows greater flexibility in the interaction.
As shown in the figure above, the patient decided to sit on a wooden bench under the shade of a tree. Moreover, the student
nurses brought their seats about 3 to 4 feet away from the patient which facilitates interaction to be audible to both without invading
personal space and promotes social interactions. The patient may perceive the nurse-client interaction as a threat if his personal
space is violated therefore it is very decisive for the student nurses on-duty to maintain the social space. One student nurse is seated
lateral to the patient while the other is seated in front of the patient so to provide perimeter to which the conversation is contained.
Tree
Nurses Thoughts and feelings:


Being of service in helping our patient cope up with the different stressors in life to help him be gainfully productive to the community where
he belongs is one of our prime motivations. For us to do this, it is our sincere desire to render our service and share the best of our abilities
and knowledge in guiding our patient gained back sound way of thinking and desired behaviour he used to have. Also, it will be an
experienced were hoping to have and develop the skills needed to become a better health care provider in this area.

We first desired to established rapport and accomplish contract setting for us to formally start our journey of mutual partnership wherein the
patient developed coping skills and we, student nurses, gained the lived experienced. This is not an easy task ahead of us, but, we are
hopeful and confident enough with the help our mentor and above all, the almighty God.

We desire to accomplish contract setting and foster an atmosphere where there is acceptance, understanding, genuine care, open
communication and trust for each other. Important points to consider where emphasized during the first meeting. Expectations from us were
laid out to our patient and we also asked our patient what he is expecting from us during the entire psych rotation that we will be with him.

Objectives:


Learning Objectives:

Within the nurse-patient interaction, the student nurse shall:

1. Initiate contract setting containing time, place, date, and duration of the interaction to the patient properly
2. Clarify nurses expectations to the patient appropriately
3. Mutually agree on goals to accomplish with the patient properly
4. Identify patients problems thoroughly
5. Discuss the terms of termination to the patient correctly
6. Clarify nurses role and responsibilities to the patient sufficiently
7. Discuss the terms of termination to the patient correctly
8. Converse about the confidentiality of the interaction to the patient


Client centered Objectives:

Within the nurse-patient interaction, the student nurse shall:

1. Communicate problems to the student nurses appropriately
2. Clarify patients role in the interaction with the student nurses appropriately
3. Express thoughts and feelings to the student nurses genuinely
4. Shares information about self and his relationships towards other people to the student nurses appropriately
5. Identify goals with the student nurses correctly
6. Convey expectations to the student nurses accurately
7. Shares information about self and his relationships towards other people to the student nurses appropriately
8. Verbalize any concerns to the student nurses

Nurse client interaction:

Nurses Verbal and Nonverbal Cues Clients Verbal and Nonverbal Cues Therapeutic Communication
Techniques
Analysis
Bona and Kim: Good Morning, Sir.
(smiles)
Bona: Ako diay si Bona, Sir.
Kim: Ako si Kim, Sir. Kami mga
student nurses gikan sa Silliman
University College of Nursing.


Client: Good morning pud, Maam
Bona, Sir Kim. (smiles)

Giving Recognition Greeting the client shows that the
student nurses are well aware of
the presence of an individual
despite having the mental
condition. This is one of the ways
to create an atmosphere of
acceptance.
Bona: Kinsa gani atong pangalan,
Sir?
C: Ako diay si Romeo Rodriguez.
Natawo ko sa Bayawan City,
Negros Occidental

Giving Recognition Asking the clients name conveys
respect to the client as a person
and shows worth of an individual
regardless of his mental state.
Kim: Magpuli-puli lang mi sa
akong kauban ug pangutana
nimo, Sir. Okay lang ba, Sir?
C: Okay, sige sige, Sir Kim,
Maam Bona.
Suggesting Asking the clients perception of
his comfort will greatly increase
building of trust between the
nurses and the client.
Kim: Okay, Sir. Naa mi diri, Sir,
para mukat-on ug magtuon sa
inyong sitwasyon isip mga
student nurses.
C: And then, the second part of
your schooling has been
emphasized on practicing,
accordingly.
Giving Information Providing information to the client
about the reason of the student
nurses involvent in his care will
give him an idea of your purpose.
Positive patient response shows
understading in the information
given.
Bona: Putting into action what we
learned. Ang among nakat-unan
amo pong e-apply para pud mi
makatabang sa mga
nanginahanglan. Okay lang ba sa
imo, Sir?
C: Daghang salamat, Maam.
Daghan kaayong salamat.

Giving Recognition Affirmative responses to patient
encourages patient to voice out
what is in his mind. Asking the
consent of the client shows
respect.
Kim: So kami diay, Sir, manganhi
mi diri kada Byernes sa buntag.
Mga between 9:30 to 10:00 mi
maabot. Niya mag-istoryahanay
C: 45 minutes Okay ra.
(smiles)

Giving Information Stating the specific time and
duration of the interview will give
specifics to the client as to when
the interaction will start and end.
ta sa sulod sa 45 ka minutos.
Kim: Okay lang ba sa imuha, Sir
na magistoryahanay ta kabahin
sa imung mga concerns, unsa
imung mga problema imung isay-
isay niya kami amo kang
tabangan na masulbad nimo
imung problema. Kami, isip mga
estudyante, mu giya nimo.
C: Kinahanglan ra ko maligo, mag
toothbrush, then paghuman ug
kaon, mangandam na ko sa 45
minutes na pag-istoryahanay.

Giving Information Giving details to the client with
regard to the scope of interaction
will give him a trace as to what
the interaction will be all about.
Affirmative response from the
patient gives the student nurse an
idea of acceptance and
cooperation from the client.
Bona: Nakadungog ko Sir na
kabalo kang kinahanglan
magpreparar sa dili pa mi
maabot. Nangandam na ka,
naligo ug nakailis na ug humana
na kag kaon para pag-abot namo,
komportable na ka ug ready na ta
magsugod ug istorya sa saktong
oras para dili pud ka malangan
nya dili pud ta madugay.
C: Okay.



C: Sige. Sige.

Restating Restatement of what the client
said gives him an idea that his
communication of idea is effective.
This encourages the client to
continue.
Kim: Ang tanan diay nimong
isulti, Sir, kay confidential. Walay
laing tawong makabalo ani gawas
namong duha, ang doctor ug
nurse na ga alagad sa imu,
among maestra, ug among mga
classmate. Ang impormasyon na
imung ihatag kanamo, Sir, kaya
amo pud ng e-share sa among
classmates para pud makakat-on
pud sila sa imung sitwasyong.
Pero, Sir, dili namo gamitun
imung tinoud nga ngalan,
mugamit ra mi ug codename.
Okay lang ba sa imu, Sir?
C: Okay.

C: hmm.


C: (nods)





C: Okay ra.
Giving Information Stating the details of patients
confidentiality displays respect
and encourage atient to verbalize
his thoughs and emotions, as well
as his observations, to the student
nurses because his identity and
information are protected.
Bona: Naka-agi na ba kag
estudyante na pareho namo, nga
C: Oh. (nods)

Clarification The student nurse clarifies her
vague guess by validating it to the
nag-alaga sa imuha? client.
Bona: Okay. So kami, Sir,
magsugod mi karong
semanahuna kay mao ma ni
atong unang pagkita. Mu-anhi mi
kada Byernes sa buntag.
Mahuman mi, Sir, siguro mga
Septembre, mga hinapus. Di lang
mi mkasulti ug insaktong petsa,
Sir, kay basig nay mga pag-bag-o
na mahitabo sa mung schedule.

Kim: Maningkamot mi, Sir, na
matabangan ka sa imung mga
problema. Ang among mahatag
nimu, Sir, kay ang among
panahon ug oras, ang among
kahibalo arong mka giya mi sa
imuha. Kabahin sa kanang mga
personal na panginanghalong
nimu sama sa kwarta, dili mi
makahatag ana, Sir, pero sa
hinapus na sa among duty, Sir,
naa ra unya mi pahalipay sa imu
kay dili man pud pwede, Sir, na
kada bisita namu manghatag mi
kay ang uban mag unsa unya.
Mangigi pud na sila. Mao ng
panahon na matapos na among
duty, angay mo tanan na nay
pahalipay na madawat para fair.
Okay ra sa imuha, Sir?









C: Daghang salamat.



C: Okay ra kay katungod man
namo na mutug-an sa iyong mga
pangutana, mu-istorya sa among
gibati, mu-istorya sa inyong mga
pangutana ug sa inyong is-torya,
makasabot mi dayun mutubag mi
ug unsa among e-tubag kay para
makatabang pud mi sa inyuhang
pagtuon, sa inyung pag-eskwela.
Ug makagraduate na mo,
makakuha na mo ug kurso,
mapatindog na ninyo inyong
pangalan as a full-pledge nurse
na makatabang na mo sa uban.

Giving Information










Offering Self
Presenting the time scope of the
nurse-client interaction and the
possibility of termination will
prepare the patient to give
significant information that will be
useful in helping him achieve the
goals of care.




The student nurse offers his
presence, interest, and desire to
understand. Moreover, offering his
time conveys to the patient the
worth of his self. Favorable
response from the patient is also
needed to encourage his
cooperation.
Bona: Pero kami, Sir, ang amo
gyung tinguhaan, Sir, ikaw jud
among tabangan ug giya. Unsa-
on nimo pag sulbad imung mga




Giving Information



It is important to be mindful of the
student nurses purpose of the
interaction. Clarifying to the
patient on his perception about
problema. Ug naa kay mga
problema na muabot sa kinabuhi,
unsaon pud nimu pagpama-agi
para masulbad para makabalo ta
sa kung unsa jud ang angay
natong himuon, diba? Usahay
man gud, nay uban na maglibog.
Maglisud sila ug sulbad sa ilahang
mga problema.

Kim: Unya, ang among gipangayo
gumikan sa imu, Sir, kay ang
imung kooperasyon para
matabangan ka namo nya dili pud
ta maglisud. Magtinabangay lang
ta, Sir. Okay lang ba na, Sir?

Bona: Kay partnership man ta,
Sir. Kay kung dili ka mu share sa
imung mga concerns, mga
problema, unsaon man na namo
pagtabang ug pag-giya kanimo.
Mao na nanginahanglan mi sa
imung kooperasyon.













C: Ang una nakong ika-istorya
nga aning lugaraha, sama sa us
aka kampo.














Suggesting Collaboration
the interaction and its purpose
shows an impression to the client
that the student nurse is there to
help him and it is not the clients
role to help the student nurse.








The student nurse seeks to offer a
relationship in which the client can
identify problems in his emotions,
thoughts and relationships with
others, as well as his ability to
cope with lifes stressors. This will
also cause the client to cooperate
in the interaction.

Kim: Nganung kampo man, Sir? C: Nya sama sa sa 9s aka kampo,
naay guardya ug utility. Nya ang
ulity ky to authorize utilization.
Mukuha ug authorize. Mukuha ug
katungod sa guardya na
makasulod aning lugaraha. So,
ang buhaton sa guardya, naa
mag goy policy na Keep the
gate always close. Sigeng serado
ang pertahan sa biskang unsang
orasa. Dili mupasulod ug taga-
gawas, dayung ug naay mubisita
Encouraging Description of
Perceptions
To understand the client, it is
important that the student nurse
will see things from the clients
perspective. This will also provide
clients thoughts about his
environment, particularly the
place he is staying.
sa selda na usa, dili paduolan ug
daghan. Dili paduolan ug lain. Ug
naay daghan na mubisita sa
selda, dili paduolan ug lain. Dili
paduolan ug daghan. Unya pag-
abot sa alas onse sa gabie, e
check ang likod na gate. Dayung
ug natulog na ang mga watcher,
natulog na ang mga pasyente,
walay mulayas, walay nag wild,
walay nakig-away, matulog na
ang guardya. Mu nay akoang
observation. Dayun, ug naay mag
reaction, mga side effects sa
tambal, ug mag reaction sa gabie,
sa disoras sa kagabion kanang
tyempo tingkatulog na ba,
kinahanglan na naay nurse na
mu-atender, mu tagad sa
pasyente na magpa-inom ug
tambal na pangpakontrol sa
reaction. Nya ug naay mag-away,
naay mga nasamaran, naay mga
nangapangus, nangasamad,
kinahanglan na mutawag ug
ambulansya para na mu assist sa
lugar na sama niini.
Bona: Salamat pud sa
impormasyon na imung gihatag
sa amoa, Sir. Diba imu mi nimung
gitagaan ug idea.

Kim: Tapos, Sir, unsa man imung
gina-expektar sa amua?
C: Ang akong paghunahuna sa
inyuha, ang akong panan-aw,
kinahanglan jud untang
makahuman mo sa pag-eskwela
kay para makatabang mo sa
uban. Dayun ug naa na moy
kurso na makuha, makatrabaha
na mo. Syempre, ug
makatrabaho na, ampingan ang
Encouraging Expression




Broad Openings
Asking the client about his
expectations will make him feel
that his preferences are also
needed in the interaction. This will
also show his importance as a
person and as a part of the nurse-
client relationship.
pagtrabaho. Dayun, pahalagahan
ang pagtrabaho. Dayun, mutan-
aw ug mga butang na ikaayo o
ika-apply pa sa pagtrabaho,
magamit na butang para sa
pagtrabaho para ma asenso ang
pagtrabaho.
Bona: Okay, Sir. Salamat sa
imuhang ideya pero among
gusting makat-unan, Sir, kabahin
lang sa ato unyang pag-
istoryahanay sulod sa 45
minutos, kada Byernes, unya
sulod sa du haka bulan. Mga
almost 2 months. Unsa man
imung gusto pud na makad-unan
gikan namo? Unsa pud imung
ayuda nga gusto nimu nga amu
pud na mapa-ambit nimu? 11 s
aka kay gustong ipa-ambit?

Bona: Therapy
C: Ang akong gusto ipa-ambit kay
naa unta moy therapy na himuon
kay para maapil ang tanang
pasyente, maapil ang tanang naa
sulod diri sa inyuhang therapy
kay speaking about the history of
life and physically, naa juy
problema sa lawas na
kinahanglan ma-ugnat o ma-
exercise para mu circulate ang
dugo sa lawas dayun magamit
ang kaalam, dayun maka-
hunahuna sa mga butang na
gusto nilang himuon, nga gusto
nilang e-project o e-proyektong
e-dayandayan sa ilang lawas nga
11s aka nila ilang kagaugalingog
abilidad.
Encouraging Expression Telling the client to verbalize what
is in his mind enhances
acceptance and therefore,
promoting trust in the
relationship. This is also a way of
knowing what the client is looking
forward in the future and how he
can be helped in the course of the
nurse-patient interaction.
Kim: Maabot ra pud ta ana unya,
Sir

Kim: Nakasulay 11s ak ana ang
sa diha, Sir?



C: Oh.




Seeking Information
This allows the student nurse to
identify the understanding of the
patient and wether the patient
needs further explanation about
the matter.
Bona: Unsa man inyung gihimo
ang sa diha, Sir?
C: Dance theraphy. (smiles)

Clarification Asking the client about his past
experiences will give an idea as to
how therapies work to the patient.
Bona: Ah, dance theraphy, sige.
Mu-abot ra unya ta ana, Sir,
depende sa mga kinahanglan
C: Nakasulay mi naghimo mi ug
pulseras dayung gipasul-ob sa
akoa. Naa puy gipahimu mi ug
Seeking Information Asking the clients choice will
greatly help in alleviating wellness
in his daily living because this will
ninyo. So unsa man imung
ganahan, Sir?

Bona: Ah.
pulseras sa lain pang mga
butang, nga sa laing panahon.
Gipahimu mi ug pulseras dayung
among gibaligya kay ipalit namo
ug merienda.
reflect his ideas of how he will be
of use in other people and in a
bigger society.
Bona: Kinhangalan pud nato na,
Sir, para mahibalik atong abilidad
sa panginabuhi. Kung naa na ta
pangiabuhi, bulahan na makuha
nato ato adlaw-adlaw nato na
panginanglanung pinansyal.
C: Oh.

Accepting An accepting response indicates to
the patient that the student nurse
followed his train of thought. This
will also enhance trust in the
nurse-client relationship.
Bona: So, mao na imung
expectation, Sir? Na naa moy
therapy. Sakto ba akong gisulti,
Sir?
C: Oh, sakto. Sakto ang imong
gisulti.

Consensual Validation The student nurse should seek
clarification so the know whether
her thoughts are in sync with the
clients.
Kim: Ngano diay na admit ka diri,
Sir?
C: Na admit ko diri, Sir, kay kuan
man gud
Encouraging Expression Asking the client about his
thoughts of why he was
hospitalized encourages the client
to make his appraisal about the
topic
Bona: Makahinumdum pa 12s ak,
Sir?
C: Makahinumdum pa ko sa mga
panghitabo nako.
Placing Event in Time or
Sequence
Structuring the events will help
the client remember the sequence
of what happened to him and will
convey consistensies with his
information given.
Bona: Pwede ba nimu mi ma
saysayan sa mga panghitabo, Sir?
Kay maminaw mi nimo.


C: Naadmit ko diri gumikan sa
gikuha ra ko sa barangay tanod
then gisakay ko sa tricycle dayun
gisulod ko sa barangay hall na
selda. Dayun, after 3 days na
gifollow-up ang identification sa
akoang pagkatawo, sa dihang
napamatud-an na nila, gidala ko
sa mental rehab. Ay, sa National
Center for Mental Health.
Encouraging Expression This shows the interest of the
student nurse in helping the
patient with his condition or
problems. Encouraging client to
speak his experiences will give the
student nurse information for
beteer patient outcomes.
Kim: Asa man na dapit, Sir? C: Sa Manila. Seeking Information Asking information to the client
will help in validating
inconsistensies in the future.
Kim: Ah, sa Manila, So, unsa man
tong mga tuiga, Sir?
C: 2003, February 4.

Seeking Information The information provided aids in
sequencing of events.
Bona: So katung nahitabo, Sir.
Katung gikuha ka sa barangay
tanod nya gidala sa barangay
hall, mga unsa man tong petsa,
Sir?
C: Mga February 2, 2003.

Seeking Information The information provided aids in
sequencing of events, and can be
used in understanding the
experiences of the patient as an
individual.
Kim: February 2, 2003. So didto
ni siya nahitabo sa inyung
barangay?
C: Sa Sitio Veterans, Brgy.
Bagong Silangan, Fairview,
Quezon, City.
Seeking Information Asking for his address will validate
the occurrence of the events.
Bona: So didto diay ka ani sa
Manila katong nahitabo ni, Sir?
C: Oh.

Clarification Validating student nurses
understading to the patient aids in
sequencing of events.
Bona: So akong usbon, Sir, ha? C: Oh Clarification Validating student nurses
understading to the patient aids in
sequencing of events.
Bona: Sitio Veterans, Brgy.
Bagong Silang
C: Silangan.

Restating This will verify to the client what
he just said and to observe the
client for the consistencies of his
ideas.
Bona: Ah Silangan C: Oh Fairview, Quezon City Restating To validate what the client said.
Kim: So didto ni unang nahitabo,
Sir?
C: Oh, pagka 3 days after Seeking Information To aid in rightly sequencing the
events
Kim: So pagka February 4,
gihatud ka sa?
C: NCMH. National Center Seeking Information To confirm the place where he
was brought after.
Bona: Unsa may meaning ana,
Sir?
C: National Center for Mental
Health
Seeking Information To clarify the meaning to make
the flow of interaction clear.
Bona: Asa man ni, Sir? Unsang
address aning National Center for
Mental Health?
C: Ang address ana kay Noybe de
Pebrero St., Mandaluyong

Seeking Information To establish consistencies with the
data gathered.
Kim: Noybe de Pebrero St.,
Mandaluyong.
C: Ug didto napamatud-an sa
doctor sa ilahang medical
laboratory examination ug sa
mga doctors laboratory
Restating So the client may know what he
just said so to confirm if the data
gathered is consistent to what
happened to him in the past.
examination, napamatud-an sa us
aka doctor na naa koy sakit na
nervous breakdown.
Kim: Mao nay giigon sa doctor,
Sir?
C: Mao nay giingon sa doctor. Seeking Information To verify what the client had said
about the diagnosis of the doctor.
Bona: Nakahinumdum pa ka sa
imung doctor?
C: Ang akoang doctor
nahinumdumang pangalan sa
akoang doctor kay si Ronaldo
Eskanio.
Seeking Information To confirm whether what the
client is telling about his doctor is
real or not.
Kim: Niya karon, Sir, pwede mi
nimo saysayan, Sir, kung unsay
hinungdan sa imung nervous
breakdown?
C: Nagkasakit ko ug nervous
breakdown gumikan sa ang
sinugdanan ani usa ko ka taxi
driver.
Encouraging Expression To let the patient verbalize his
experiences having nervous
breakdown and to give an
impression of interest to the
client, as well as his past
experiences before he was
diagnosed with nervous
breakdown.
Bona: Taxi driver. Dayun, Sir? C: Dayun, 14 s aka adlaw sa
akong pagbyahe, mga alas 6 sa
kagabi-on na padpad ko sa lugar
sa Kalookan, sa Rizal Avenue,
Kalookan atbang sa MCU, 14 s
aka 14 14 sa Rizal Avenue.
Gisakyan ko ug pasahero nga tulo
ka buok, 14s aka14 lalaki ug us
aka babaye. Ang 14s aka babaye
ay ang us aka lalaki diri sa
akong tapad, ang us aka babaye
kay sa likod niya ang us aka lalaki
ky sa ako jung likod. Unya ang
gasakay nako na pasahero na tulo
kabuok, ang 14s aka lalaki kalit
na ning bunot ug 14 s aka na
kwarentay-singko. Nakakat ang
hammer, inggansado, naay load.
Dayun nagpahayag na hold-up ni.
General Leads It encourages client to continue in
the interaction and it conveys that
the student nurse is listening and
following what the client is saying.
To know the sequence of events
the client experienced and to
picture out the event as to what
really happened that predisposed
him to have nervous breakdown.
Sa dihang gitiunan kog
kwarentay-singko, nakaingun ko
na mutuman lamang ko sa ilang
mga mando. Nagpahatod sila ug
Rosario, Pasig. Mao tong pirte
nakong kulbaa nya ang akong
tupad na lalaki ga mando sa akoa
ug asa ko muagi. Giingnan ko nila
na ayaw pagbuhat ug daotang
lihok 15s aka1515 kang patyun,
madayunan ka ani.
Kim: Ila kang gihadlok. C: Oh, wala ko gapakitag daotang
lihok gumikan na nakati-on sa
akoang likod ang kwarentay-
singko na nakakat ang hammer,
naay load. Nya ug pitkon,
mubuto, patay ko. Mao nang
gisunod nako ilang pagmando.
Making Observations To let the client know that the
student nurse understands what
he is feeling and to give him the
idea that the nurse is listening
attentively to what he is saying.
To understand the situation based
on what the client narrated.
Kim: Oh, dayun unsay nahitabo
dasun, Sir?
C: Gapahatud sila ug Rosario,
Pasig. Gihold-up ko nila, gikuha
akong kwarta dayun gidala nila
akong sakyanan. Gipakanaog ko
sa Rosario, Pasig sa taytayan sa
Rosario sa floodway. Gipakanaog
ko sa floodway sa Rosario, Pasig.
Rosario, Pasig Bridge. Niya akong
boundary na, usa ka semana na
wala ko ka boundary.
General Leads To encourage the client to
continue narrating the events that
happened and to communicate
interest of the nurse about the
topic being talked about.
Bona: Wala ka naka-remit? C: Oh, wala ko ka remit ug
boundary. Duh aka semana na
wala ko ka boundary, hapit bente
mil akong kwarta. Hapit bente mil
akoang naipon. More or less,
twenty thousand ang akoang
naipon na inug boundary, ilahang
naapil ug kuha sa akoa. Dayun
Consensual Validation To validate understanding in
accord to the meaning of words
the client is saying. This also
conveys uniformity in the words
being used in the interaction of
both the student nurse and the
client. The clent also verbalized
further about what happened to
napakanaog man ko sa Rosario,
Pasig, ning sakay ko ug taxi. Ning
para ko ug taxi. Ning sakay ko sa
taxi, ning ingun ko sa taxi driver
na ihatod ko sa akoang operator
kay nahold-up ko nya gi-carnap
pud akoang unit. Pag-abot nako
sa operator, giingnan nako na
bayari na lang ninyo ang taxi, Sir,
kay akoang unit gi carnap nya na
holdup ko. Ning-ingun siya na
ayaw rag kabalaka anang
imuhang unit kaya moa ra nang
ipa publish. Kay naa may
publishing na Manila Bulletin na
naa sa Ayala, Makati, naa pud sa
Intramuros. Unya, sa ingana na
pamaagi ning-ingun ko na, Unsa
man akong buhaton, Sir? Ning
ingun siya, Mintras wala kay unit
nga e byahe, tagaan ka namo ug
allowance nga budget nimo sa
pang-adlawadlaw na
panginahanglanun. Dayun, kay
naa man kay pundo diri kay
regular man ka na taxi driver, ga
hulog man ka ug tag bente pesos
ang kada-adlaw nya adlaw-adlaw
ang imuhang byahe, tagaan ka
namo ug tag 300 a day. Kada-
adlaw naa kay 300 pesos. Unya
imuhang unit, mu extra extra na
lang sa laing unit mintras dili pa
marecover and imuhang unit nga
sakyanan nga na-carnap na
gidala sa laing lugar. Mao tong
him.
ningpauli ko. Pag-uli nako, extra
extra na lang ko pero naa na koy
kakuyaw. Naa na koy kakuyaw.
Ang kakulba sa akong
kasingkasing mura ug gabuto-
buto ang akong dughan, kusog
kaayo ang pagpitik sa akong
kasingkasing ang akong
nabatyagan, ma feel nako sa
akoang life. Nya naay hangin sa
akong kuto-kuto, sa akoang
sikmura nga ningkalit ug saka sa
akong utok murag natuyok
akoang utok. Naturbar dayun
akoang utok. Dayun nerbyos na
naturbar pa gyud akong
panghunahuna, nerbyus
breakdown. Mao ng sa
pagkaturbar sa akong
paghunahuna, dili na sakto ang
akong mga gibuhat. Dili na sakto
ang akong paghunahuna. Mao ng
nakahimu ko ug daotan gumikan
nga dili na sakto akong paghuna-
huna, dili na sakto akong gibuhat.
Kim: Tagae kuno mi ug idea, Sir,
kung unsa imung gihimo na ni-
ingon ka pagsultig dili na insakto
ang imung gibuhat tungod kay
ang imung panghuna-huna
naapektuhan.
C: Gumikan nga naa man koy
karbin na pusil. Naa koy karbin
na pusil na daghan kaayug bala.

Encouraging Expression Encourags the client to make his
appraisal to determine his basis of
his perceptions. This will also
reveal the clients evaluation of his
actions in the past.
Bona: Ah, karbin. Naa kay pusil? C: Oh, si Dio, si pareng Dio, si
mang Dio ug si pareng Hayme, si
tatang Hayme akong gi-
gansahan. Gi-gansahan, gi-
loadan ba nako akong karbin sa
Consensual Validation To maintain uniformit of words
perceived and to validate the
interpretation of words by the
nurse to foster understanding in
the events.
ilang atubangan. Nya pagload
nako ug bala, gi-ingnan nako
nakit-an nyo si Lola Petra ning agi
diri. Pero ning ingon man pud sila
ug Oo. Ning agi diri.
Bona: Si kinsa ang ning agi, Sir? Si Lola Petra. Lola nako. Dayun
pag-istorya nako ana, namaayo
na akong buot. Ningpauli na lang
ko. After four days or five days,
gikuha na lamang ko sa mga
barangay tanod then gidala kog
barangay hall. Pero wala nila
maagaw sa akoa ang akoang
karbin kay ako mang gitago. Ako
mang gitako akong karbin kay
naa man koy bag. Nya sa amo
gung lugar, naa mi fraternity ug
usa mi ka kuan, kanang protektor
sa usa ka kompanya, sa usa ka
negosyo, naa mi Nissan Safari.
Naa koy Nissan Safari nga unit
isip usa ka protektor sa usa ka
fraternity nga naa mi sa usa ka
chapter.
Seeking Information To determine whether the client is
basing his past action with sound
rationale. It will also convey what
the client was thinking at the
moment when he acted deviously
with his peers at work and what
calmed him down.
Bona: Ah, ga-eskwela d.i ka
sauna, Sir?
C: Dili. Fraternity sa usa ka
estambay.
Seeking Information To clarify information and to help
in sequencing of events.
Bona: Ah, estambay. Asa man mo
ga-estambay dapit?
C: Sa chapter six, sa Kampo
Fairview.

Seeking Information To validate the given information
of the client.
Kim: Ah, sa Fairview. So sa
Fairview ra jud diay ka gapuyo?
C: Oh

Seeking Information To validate his location during
those events.
Bona: Nya naa gyud diay moy
mga kapunungan sa inyung mga
estambay?
C: Oh

Seeking Information To verify what the client had said
previously.
Kim: Nganung naipon man ka sa
mga estambay, Sir, na taxi driver
C: Kay dili unta ko estambay sa
unsa galling kay nahitabo ang us
Seeking Information To encourage the client to
verbalize his reasons and to verify
man ka, di man ka estambay? aka hold-up sa usa ka gasoline
station sa Spiritual Fairview,
Quezon City. Mao na akoy
napasanginlan, kami
napasanginlan na nanghold-up sa
usa ka gasoline station.
Nakasulod mi ug prisuhan then
paggawas namo kay naabswelto
man mi sa kaso, kay napamatud-
an na wala mi sala na nahimu sa
us aka hold-upan na nahitabo sa
us aka gasoline station. Sa
paggawas na namo, nag-
estambay na lamang mi.
and validate the arrangements of
events.
Bona: Then, human ato, Sir, mao
na tung ning drive naka ug taxi?
C: Humana mi atug drive ug taxi,
protektor na mi.
Placing Event in Time or
Sequence
To provide concise flow of events
and to trace train of thought. It
will also be helpful in evaluating
consistensies later on.
Bona: Ah, so kanag ikaduhang
nahitabo na napriso ka, Sir,
human ka ana nag taxi driver?
C: Oh.

Placing Event in Time or
Sequence
To provide concise flow of events
and to trace train of thought
Kim: Diba ning-ingun ka, Sir, nga
sa February 4. So katung gi-hold
up ka, Sir, kahinumdum ka unsa
tung mga tuiga?
C: 2001. Katulo man ko nahold-
up gud hangtud 2003. 2001
hangtud 2003.

Placing Event in Time or
Sequence
To provide concise flow of events
and to trace train of thought
Bona: Atung usahun, Sir, ha? So
una kang na hold-up, Sir, unsang
tuiga, Sir?
C: 2001.

Placing Event in Time or
Sequence
To provide concise flow of events
and to trace train of thought
Kim: Mao ning unang panghitabo
na gisaysay nimu ganina sa
amoa, Sir?
C: Dili pa. Mao gyapun na siya na
panghitabo. Ingun-ana gyapun.
Basta mapadpad ko ana nga
lugaraha, mao ng mahitabo nako.
Placing Event in Time or
Sequence
To provide concise flow of events
and to trace train of thought
Bona: Sa ikaduhang panghitabo,
Sir, unsa man tong tuiga?
C: August 2003. Placing Event in Time or
Sequence
To provide concise flow of events
and to trace train of thought
Kim: August 2003. Gi-hold-up ka,
Sir?
C: Oh. After na na nga na-admit
nku kay February 4, 2003 man
Placing Event in Time or
Sequence
To provide concise flow of events
and to trace train of thought
to.
Bona: So after diay ka na-admit,
Sir, nakagawas ka, nakatrabaho
ra pud diay kag balik? Naka-drive
ra pud ka?
C: Oh. Dayun November 2003,
gihold-up na pud ko.

Placing Event in Time or
Sequence
To provide concise flow of events
and to trace train of thought
Kim: So sulod sa tulo ka higayun,
Sir, ilang motibo, Sir, pareho
gyapun tung pusil iti-on sa imu?
C: Moa ng actually, pagkahuman
nakog admit ato. Dayun 2004
ning attempt ko ug suicide. Ang
akong tawag at oaky contempted
suicide.
Placing Event in Time or
Sequence
To provide concise flow of events
and to trace train of thought
Bona: Mga unsa man tong
bulana, Sir?
C: Mga July 2004. Placing Event in Time or
Sequence
To provide concise flow of events
and to trace train of thought
Bona: Humana ka ani na-admit,
Sir?
C: Oh. 2003 man ko na admit. Placing Event in Time or
Sequence

Bona: Unsa man kang bulana
gipagawas atong 2003, Sir?
C: Tulo ra ko ka adlaw sa
Mandaluyong.

Placing Event in Time or
Sequence
To provide concise flow of events
and to trace train of thought
Kim: Nganu mang tulo ra man ka
kaadlaw didto, Sir?
C: Gipagawas na ko nila kay
humana na ko nilag inspeksyon
nya gipa-inom ko nila ug tambal.
Sige ko nilag painom ug tambal
na capsule.
Seeking Information Gathering information is one step
to better understand the client as
an individual person and to be
consistent with the interaction.
Bona: So take home medication
na lang ka ato, Sir?
C: Oh. Take home medication and
follow-up check up.
Seeking Information Information is needed in validating
the order of events.
Kim: So padayon ta, Sir, para
masubay nato imung sitwasyon.
C: Okay. Offering Collaboration To enhance nurse-client
relationship and to promote
cooperation from the client as the
conversation goes deeper.
Kim: So katung higayun na
nahold-up ka, Sir, unsa man
imung gihimo? Ning share pud ka
sa imung mga amigo na mao ni
imung gibati? Na gikulbaan ka
kay gihold-up ka? Ning share pud
ka sa imung amigo, Sir?
C: Mag sharing mi kay naa man
mi sharing about the problem and
of the whole life. Ang tibuok
nimung kinabuhi u gang imung
problema, magbahinbahin mi ug
storya ug muhatag mi ug mga
mensahe sa mga uban na mao
nay nahitabo namo ug unsa ang
Seeking Information Asking how the client responded
to a crisis in life will give the
student nurse an idea as how to
help the client in responding
appropriately to the situation.
Italso provides a glimpse of the
clients relationship towards the
people around him.
amuang padulngan na
manumbalik sa amuang kinabuhi
ug sa amoang huna-huna sa
tibuok namong kinabuhi
nanumbalik ang pagkahitabo sa
Kuratong Baleleng Gang na gi-
ambushan sa mga pulis sa
Commonwealth bridge.
Bona: Mao na pud ning naka-
trigger sa imuha.
C: Gumikan na armado mi,
nahimo nako na mukasa ug pusil
sa duh aka tawo, si Tatang
Hayme ug si Brader Dio.
Encouraging Expression To know what factors triggered his
condition and to enable the nurse
to understand how to intervene.
Kim: Niya na-unsa man sila, Sir? C: Ning ingun man sila na oo,
nakit-an namo na ning agi diri. Sa
ilang pag-istorya sa ako na nakit-
an nila ning agi si lola, ning tuo
ko nila ug ningubos akong
paghunahuna sa mga daotang
buhat.
Exploring To let the client think so he can
remember the response of his
peers and whether his action is
good or bad
Bona: Imu diay tong planong
pusilun sila, Sir?
C: Oh

Seeking Information To clarify the purpose of the
clients action towards his peers.
Kim: Nganu imu mn silang
pusilon, Sir? Unsa man ang
hinungdan?
C: Kay nagduda na man ko nga
usa sila ka myembro sa Kuratong
Baleleng Gang nga nagpakalisud
sa amoang barangay, na ang mga
tawong gigipit nila ug ilahang
himuan ug mga butang na daotan
sama sa pagpatay.
Verbalizing the Implied To know the reason why the client
acted that way and to see things
in the clients own perpective.
Bona: So Sir, unsa mang
pamaagi, Sir, nga nakaingun man
ka pagsulti nga nagduda man ka?
Unsa man imung basehan, Sir,
nga nagduda man ka nila usa sila
sa mga myembro sa Baleleng
Gang? Unsa man imung
obserbasyon, Sir?
C: Kay ang akoang makita gud na
ang mga tawong manganha sa
amoa, nga mubisita gagikan sa
ilaha. Gikan sa ilahang pwesto,
mu anha sa amoang pwesto kay
usa man ka compound among
gipuy-an. Dayun sa mga
panghitabo na ing-ana, naa
Encouraging Description of
Perception
To enable the client to evaluate
whether his action is acceptable or
not and to let the client judge his
actions.
dayuy mahitabo na krimen sama
sa pagpatay, sama sa
pagsalvage. Sa amoa naa
kalamyo na taytayan ba,
kalamyong creek na taytayan na
siya na tubig sa lalom na hugaw
kaayo. Sa kalamyong creek
daghan kaayong gipanglunod na
mga tawong patay.
Kim: So kanang imung gi-ingon
na compound, Sir, kinsa may
nanag-iya ana nga compound?
C: Ang tag-iya ana si Ceasar
Angeles Castaeda.

Exploring To gather information for
consistencies.
Bona: Nganung nakapuyo man
mo didto, Sir?
C: Kay si Ceasar Angeles
Castaeda us aka direktor sa
LTO, Land Transportation Office.
Nya sa pagkuha namog lisensiya,
kaila man si Ceasar sa amuang
agalon, gi refer namo nga siyay
mu-follow up sa among records
kay kwaan man ka ug personal
identification sa imuhang
pagkatawo para isyuhan ka ug
lisensiya ug unsa na lisensiya.
Mao na nga ning ingun si Ceasar,
si Ceasar Angeles Castaeda
ning-ingon na kung gusto nimu
mu drive ug 10-wheeler na
international or mu drive ka ug
international or mu drive ka ug
traktor nga trailer, pwede kang
mu drive ipa-otso natu imung
lisensiya para makadrive ka ug
international. Pero magdala ka ug
international diri, ky amoang e
drive test. Tan-awun naming
kahibalo ba gyud ka mu drive.
Exploring To know where he is living and the
reason why he is staying in such
place. To gather information for
consistencies. To stitch the events
in sequence.
Kim: Nganung naabot man ka
diri, Sir? Giunsa man nimu pag-
abot diri, Sir?
Gumikan na gidala ko sa akong
mama. Dili unta ko mupauli diri
kay ning-ingon ko na mu drive ra
ko ug taxi, mu drive ra ko ug mga
sakyanan basta mamaayo nako
kay para mabuhi nako akoang
kaugalingon para makakwarta
ginagmay parang dili mi
magkalisod kaayo. Mu drive ra
unta ko ug sakyanan ig maayo
nako. Dili unta ko mupauli pero
ingun man si mama nga naa na
tay ticket sa barko nya naa na tay
schedule. Mao tong ningpauli na
lamang ko.
Seeking Information To have knowledge how the client
reached Negros Oriental and who
accomplanied him. To evaluate
clients thoughts in the immediate
change of location.
Bona: Bitaw kay para septi pud
ka, Sir, para pung dili ka
madisturbo.
C: Kay diri man gud, murag ug sa
akoang hunahuna, dili na ko
masulod aning mental.
Giving Recognition To let the client feel that the
decision he made is for his own
good.
Kim: Ganahan ka muuli sa inyo,
Sir?
C: Sauna, pero sauna, dili unta ko
ganahan mupauli diri sa amoang
probinsiya. Adto na lamang ko sa
Manila.
Seeking Information To perceive whether the client is
looking orward for the future and
to make the goals of the
interaction easier to attain.
Bona: Nganung ganahan man ka
sa Manila, Sir?
C: Kay daghan mang trabaho
didto. Dagko kaayong mga
buildings. Naay panginabuhi. Diri,
lisud kaayo diri ang pangwarta
kay gagmay ra gud kaayong mga
trabahuanan dri. Gagmay ra
kaaung mga buildings. Mao ng
sauna, nkakuha gyud kog
lisensiya 16 anyos pa ko. Gipa-
fake nako akoang birth certificate.
Gipahimu nakong 18 akong edad
para legal age na maka drive ko.
Ang girekomendar mn gud nila na
edad kay 18 man gud ang
Exploring To see things in clients own
perspective and to enable the
cleint to reason out what he
responded previously.
pinakabata. Mao na nga, kuan 7
to 9 years experience ko sa
pagdrive.
Bona: So taas-taas diay pud
imung eksperyensiya, Sir noh?
C: Oh.

Giving Recognition To encourage the patient to speak
his experiences and to eanable the
student nurse to validate her
interpretation of the clients
thoughts.
Kim: So, sa pamilya na sad ta
nimo, Sir. Kumusta imung
relasyon sa imung mga
ginikanan, Sir? Sa imung mama?
C: Akong mama ug papa, patay
na. Akong mga igsuon, minyo na
tanan.

Seeking Information To obtain clients family structure
and his relationship towards them.
Bona: So sir, kinsay ngalan sa
imung mama?
C: Josefa Legahe Guardiano Exploring To obtain information about his
mother.
Bona: Pila ang edad sa imung
mama pagkamatay, Sir?
C: 60

Exploring To obtain information about his
mother
Kim: Si papa nimo, Sir? C: Si papa, Antonio Baldado
Rodriguez, Sr.
Exploring To obtain information about his
father.
Bona: Pilay edad namatay imung
papa, Sir?
C: Wala ko kabalo pero namatay
siya atung 1986.
Exploring To obtain information about his
father.
Bona: 1986. Kinsa may una
namatay, Sir? Imung papa,
imung mama?
C: Si papa. Kay si mama namatay
sa January 6, 2010.
Exploring To obtain information about his
mother.
Kim: Unsang gikamatyan sa
imung mama, Sir?
C: Heart attack. Sakit sa
kasingkasing dayung naa siyay
high blood. Hypertension.
Exploring To know whether he has a
heridfamilial disease, which
predisposes him to it.
Bona: Dayung imung papa, Sir,
unsay gikamatyan?
C: Gi-salvage.

Exploring To obtain information about his
father.
Kim: Asa man gisalvage imung
papa, Sir?
C: Sa, kuan Terong, Bayawan,
Negros Oriental.
Exploring To let the client verbalize his
thought of what happened to his
father.
Kim: Kabalo ka unsay hinungdan
nganung gisalvage imung papa,
Sir?
C: Gikasinahan man gud mi kay
daghan man mi ug manok, dayun
baboy, karabaw. Ilang gikuha
among mga hayop. Human ato
wala pa sila makontento, ila pang
Exploring To examine clients thoughts and
feelings toward the tragedy that
may contribute to his illness in the
present.
gisalvage ang akong amahan.
Pero actually nakakuha mi ug tulo
ka suspect na napatunayan na
sila gyuy gapatay. Nga napriso
diri sauna sa Dumaguete. Diri
napriso sa Dumaguete.
Bona: Ah, okay so 1986 imung
papa namatay, Sir?
C: Oh, 1986.

Placing Event in Time or
Sequence
To trace the chain of events.
Kim: So sa igsuon na sad ta
nimo, Sir. Kinsa man gang
pangalan sa imung mga igsuon,
Sir? Pila man mo kabuok
managsuon, Sir?
C: Lima mi kabuok. Exploring To obtain information about his
family.
Kim: Ikapila man ka, Sir? C: Ika-lima Exploring To have an idea of his role in the
family being the youngest.
Bona: So kamanghuran diay ka,
Sir?
C: Oh. Exploring To validate the student nurses
perception.
Kim: So kinsa man inyung
kamaguwangan, Sir?
C: Celia Guardiano Rodriguez. Ay,
minyo na ni siya. Celia Rodriguez
Villanueva.
Exploring To obtain information about his
siblings and for consistencies of
data gathered.
Kim: Pila naman ang edad ani
niya, Sir?
C: Wala na ko kahinumdum.

Exploring To obtain information about his
siblings and for consistencies of
data gathered.
Bona: Wala na ka kahinumdum
sa iyang edad, Sir?
C: Oh, tanan sa akoang mga
igsuon, wala nako kahinumdum
ug pilay edad.
Exploring To obtain information about his
siblings and for consistencies of
data gathered.
Kim: Ang sunod ni Celia, Sir,
kinsa may ngalan?
C: Joseline Rodriguez Kaloring Exploring To obtain information about his
siblings and for consistencies of
data gathered.
Bona: Joseline Rodriguez
Kaloring?
C: Oh. Exploring To obtain information about his
siblings and for consistencies of
data gathered.
Kim: Sunod ni Joseline, Sir? C: Arlene Rodriguez Tejores Exploring To obtain information about his
siblings and for consistencies of
data gathered.
Bona: Arlene Rodriguez C: Tejores. Ang ika-upat lalaki, Exploring To obtain information about his
junior. Antonio Guardiano
Rodriguez, Jr.
siblings and for consistencies of
data gathered.
Kim: Ikaw na dayun agndasun,
Sir?
C: Dayun ako. Exploring To validate clients perception
about his thoughts
Kim: Buhi pa ni sila tanan, Sir? C: Ang akoang mga igsuon, buhi
pa.
Exploring To gather information about his
siblings and
Bona: Mubisita pud sila nimu, Sir? C: Usahay, pero sukad nan a-
admit ko sa 2008, kaduha ra ko
gibisita. 2010 hangtud karun.
2010 katung paglubong ni mama
then mga 6 days ra ko didto, ning
balik ra oud ko diri. Dayun pagka,
atung May 13 hangtud may 17,
ning bisita na pud ko didto karung
2014.
Exploring To assess clients relationship
towards his siblings and how his
siblings responded to his illness
based on their behaviors.
Kim: Ah, ning bisita ka, Sir? C: Oh kay pista man sa amoa. Verbalizing the Implied To validate what the client had
said previously.
Bona: Ah, namista. Aha man ka
namista, Sir?
C: Sa Barangay Narra. Namiesta
mi sa amoang barangay.
Exploring To know the place where the
client went and for consistencies
of the events
Kim: Kinsa man imung kuyog,
Sir?
C: Akoang uyuan nga gikan sa
Cebu.
Exploring To let the client verbalize who was
with him during those times
Kim: Gi-anhi ka diri, Sir? C: Gi-anhi mi diri sa akong uyuan
na gikan sa Cebu dayung akoang
pag-umangkon nga naa sa ila,
gidala kauban niya. Kauban mi
namiesta sa among barangay, sa
barangay Narra.
Exploring To have an idea of his relationship
towards other family members
and their actions toward the
client.
Bona: Gibalik ra pud ka diri, Sir? C: Oh, ningbalik ra pud ko diri. Exploring To know what took place
thereafter.
Bona: Ilaha kang gihatud, Sir? C: Oh, ilaha kong gihatud. Exploring To be aware of his relationship
towards his extended family.
Kim: So dinhi na jud diay ka
gapuyo, Sir?
C: Oh. Exploring To know where the client is
staying so to assess his
environment that would greatly
contribute to managing his illness.
Kim: Wala ra pud kay problema
sa imung mga igsuon, Sir?
Magkasinabot ra ba mo, Sir? Unsa
man imung relasyon sa imung
mga igsuon, Sir?
C: Ang relasyon namo sa akong
mga igsuon nga suod gyud mi.
Dayun kay kamanghuran man ko,
sila ray mahibalo nakong
muhatag sa akoang mga
pagkaon, ingun ana.
Encouraging Expression To let the client verblilize his
thoughts and feelings toward his
siblings and their relationship with
each other
Bona: Karun, Sir, unsa may
imung gibati nila? Unsa man
imung pagbati nila nga karung
naa ka diri nagpuyo?
C: Karon, ang akong gibati na
dako kaayo kog kakulangan sa
among pamilya. Imbis
makatabang ko sa akoang mga
igsuon, imbis makatabang ko sa
akoang mga ginikanan, imbis
makatrabaho ko para makahatag
ko ug kwarta sa akoang mga
ginikanan, imbis makatrabaho ko
para naay pagkaon ang akoang
mga ginikanan, wala na koy
trabaho. Wala koy nahimo.
Encouraging Expression To encourage the client in
verbalization of his feelings toward
his family and to assess clients
thoughts about his role in the
family in the past and at present
Kim: Mao na imung gibati, Sir? C: Mao nay akong gibati. Encouraging Expression To validate the student nurses
interpretation of clients thoughts
Kim: Nabalaka ba ka, Sir? C: Sa pagkakarun, naa pa koy
gamayng kabalaka gumikan nga
naa koy nervous breakdown unya
napamatud-an sa doktor nga naa
koy, kuan complicated ang
akoang sakit. Nahimung naa na
pud koy Schizophrenia or
schizophrenic nga side-effect nga
mag reaction ko kung maka-inom
ko ug tambal. Na-injectionan ko,
naay side-effect na gitawag ug
schizophrenic.
Encouraging Expression To let the client verbalize his
thoughts and feelings and to
foster a trusting nurse-client
relationship throughout the
interaction.
Bona: Unsa man imung reaction,
Sir?
C: EPS. Extrapyramidal
symptoms. Mag reaction gumikan
sa side-effect sa tambal.
Encourage Description of
Perceptions
To determine what the client
experiences with the adverse
effect of his medications.
Kim: Unsa may epekto ana sa C: Matarantar ko nga dili ko Encourage Description of To evaluate clients responses
imung lawas, Sir? Unsa man
imung bation ana, Sir?
mahimutang, maglaway ko nya
mugawas akoang dila nga mura
kog marobot-robot nya samok
kaayo akong paghunahuna dayun
mablangko akong paghunahuna.
Perceptions toward the medication he is
taking.
Bona: Niya, sige pa gyapun ka ug
inom ana nga tambal, Sir?
C: Gainom pa ko sige.

Exploring To assess clients adherence to
the medication despite the
adverse effect of this drug.
Kim: Unsa man na tambal imung
gina-inom, Sir?
C: Chlorpromazine.

Exploring To know what drug causes these
effects on the patient and to
Bona: So mao na ang imung
bation kung mu-inom ka ana nga
tambal, Sir?
C: Oh. Pero karun, ayo na ko. Dili
na ko ma-robot. Dili na. Nadawat
na sa akoang lawas then naka-
recover na pud ko sa akoang
kaugalingon.
Exploring To validate the effect of the
medication towards the client in
the clients own understanding
Kim: So, dili na maglibog imung
paghunahuna, Sir?
C: Igo na lamang masamukan
ang akong paghunahuna then
matarantar ko, gamay na lang,
mild.
Exploring To know whether the action of the
medication is effective in patients
responses
Bona: Matinud-anon kay ka mu-
share, Sir. Ginatun-an man pud
na namo ang mga tambal, Sir,
pero mas maayo gyud ng gikan
sa katumar mismo ang side-
effects para ma-confirm namo
kung unsa gyud ang gibati sa us
aka tawo nga nagtumar ana nga
tambal. Niya makatulog ra ka,
Sir?
C: Oo, makatulog ra. Sa
pagkakarun, na recover na ko.
Ning balik na akong gana sa
pagkaon, ningbalik na ang
kahimsog sa akoang panglawas,
then ningbalik na ang akoang
gana sa pagtulog.

Exploring To verify whether the medication
is not interrupting the clients
sleeping pattern and cognition.
Kim: Kumusta diay imung
kahimtang diri, Sir?
C: Sa akoang kaugalingon,
gumikan nga sa pagkamatay
nako ug sugurun nako sa
sinugdanan katong
nagpakamatay ko, nawad-an
nakog paglaum sa kinabuhi.
Encouraging Expression To have an awareness of clients
situation as of the moment.
Bona: Unsa tong tuiga nga C: 2004, nagpakamatay ko Placing Event in Time or To provide an order of events.
nagpakamatay ka, Sir? paghumag admit. Sequence
Kim: Mga unsa man tong bulana,
Sir?
C: July 2004. Nagsuicide ko.
Ning-ambak ko sa tabay nga dili
na mabalik akoang ulo sa babaw.
Gi-una nako akoang ulo. Lalum,
dayun ambot kung unsang
himala-a ug nganong nabuhi pa
man ko. Napalot akoang ulo.
Placing Event in Time or
Sequence
To provide an order of events nd
to let the client think about what
happened.
Bona: So, ning-ambak ka sa
tabay, Sir. Nabantayan diay ka
nila, Sir?
C: Oh. Nag-night swimming ko
kay ala-una naman to sa
kadlawun. Ala-una naman to sa
kadlawun, nagnight swimming ko.
Exploring To validate what the client has
said previously in the interaction.
Bona: Si-aw pud ka, Sir. Naa pud
kay sense of humor, Sir.
C: Oh

Humor Humor establishes comfort in
expressing thought and openness
in the topic discussed. It also
conveys acceptance and trust in
the interaction. Humor is a basic
part of the personality and has a
place within the therapeutic
relationship. As a part of inter-
personal relationships, it is a
constructive coping behavior. By
learning to express humor, a
patient may be able to learn to
express other feelings. As a
planned approach to nursing
intervention, humor can promote
insight by making con- scious
Bona: Mao man gud na, Sir. Sa
kinabuhi, naa gud tay mga
problema nga dili nato makayang
sulbaron. Naa man gud tay
problema, Sir, nga dili nato
masulbad diha diha dayun. So,
kinahanglan siya, Sir, ug taas nga
pasensya. Kay usahay gud, ug
C: Oh. Calisthenic exercises pud.







Suggesting Collaboration







The student nurse seeks to offer a
relationship in which the client can
identify problems in living with
others, grow emotionally, and
improve the ability to form
satisfactory re- lationships. The
student nurse offers to do things
itong apikihon, mao nay
hinungdan nga kita mag nervous
breakdown, magdaot ta. Niya
kanang sa imuha, Sir, kung
bation gani ka ug kakuyaw, kung
bation gani ka ug kakulba, Sir,
muginhawa ka, Sir. Inhale,
exhale. Inhale, exhale until such
time na kana imung kulba, Sir,
mawala. So, muginhawa ka sa
ilong, Sir, dayun imung e-hold sa
3 ka Segundo then imung
ipagawas sa baba ang hangin
hinay-hinay murag gahuyop ug
kandila. Usa na siya, Sir, ka
pamaagi para marelax imuang
mind ug sa imung heart. Kay
kung makulbaan man gud ta, Sir,
mu paspas atuang heart. So
maayo gyud na marelax ta, Sir.
Dayun, Sir, kung mahimo,
undangan nato ang
pagpanigarilyo kay ang sigarilyo
mkacause man gud siya, Sir, o
maka-trigger sa imung mga
balatian kay ang sigarilyo, Sir,
naa nay nicotine. Nakapapaspas
man na siya sa heart beat so
makacause siya, Sir, na ang
imung kulba, muandar pud. So
kung mahimo, Sir, mu-undang ta.
























C: Kana pung kape, Maam.
Ingun pud sila nga bawal pud daw
na kay makadaot daw na, Maam.
























Giving Information
with, rather than for, the client.













Providing adequate information to
the client will give him facts about
his health habits and how to
modify for healthy living.

Bona: Base sa among pag-
eskwela, Sir, kanang caffeinated
o kanang mga ilimnon na naay
caffeine sama sa kape ug
softdrinks kay makapa boost na
C: Oh.




Giving Information




Dispensing significant information
about the concerns of the client
will help him in understanding
about living healthy.

siya sa atong brain na mu work
pero naa pud na siyas side-effect
sa heart. Naka-cause na siya ug
palpitations, Sir. So, kung
mahimo, Sir, kaning mga pagka-
una, imung likayan. Kung dili man
gani ka makalikay, at least imuha
siyang e-minimize.






C: Kinahanglan man untang dili
gyud masubrahan sa pag-inom ug
panigarilyo gumikan kay ikadaot
kini sa panglawas.





Giving Information





Dispensing significant information
about the concerns of the client
will help him in understanding
about living healthy.
Bona: Niya ang alcohol, Sir, kay
makatrigger pud sa uban natong
mga balatian so, as much as
possible, mintras magpaka-ayu
pa ka sa imung lawas, maglikay
gyud ka, Sir, na
magkakomplikasyon para maayo
atong pagtulog, baskog atong
lawas, ug healthy ta, so atong
likayan ang pag-inum anag mga
ilimnun na naay caffeine ug
alcohol ug kanang pagpanigarilyo.
Kay ang panigarilyo, Sir,
makadaot sa imung kasingkasing
ug sa imung baga. Niya bawal
magkasakit, Sir, kay mahal ang
tambal. So as much as possible,
Sir, take good care of your
health. Kay regular man ka nag
a-inom ug tambal so naay dakong
posibilidad nga maayo gyud ka
basta maglikay ta sa mga
gipangdili.
C: Oh kay makadaot sa lawas nya
sa lawas ra pud mubalik.











C: Thank you, Maam.

Giving Information












Giving Information
Providing adequate information to
the client will give him facts about
his health habits and how to
modify for healthy living.








Dispensing significant information
about the concerns of the client
will help him in understanding
about living healthy. It will also
provide health education to the
client.
Kim: So naabot naman ang 45
minutes natong panag-
istoryahanay, Sir, daghan
kaayong salamat sa imung
C: Thank you, Maam ug Sir. God
bless, good luck. Goodbye Maam.
Goodbye, Sir.

Giving Recognition Thanking the client shows that the
student nurses are well aware of
the presence of an individual
despite having the mental
panahon. Niya magkita ta sa
sunod semana, puhon sa Friday.
C: Sa Friday. condition. This is one of the ways
to create an atmosphere of
acceptance.
Bona: Niya mubisita na pud mi
nimo, Sir, kaya tong ipadayun
ang atong panag-istoryahanay.
Okay lang sa imuha, Sir?
C: Okay ra.


Giving Recognition Reminding the patient about the
next visit will help him remember
that the continuation of the
interaction will be in the following
week.
Bona and Kim: Salamat kaayo,
Sir. Thank you.

Bona: So ana lang siya, Sir.
Sulayan lang nimo o obserbaran
nimo nga dili ka manigarilyo nya
ug naay manigarilyo, mulikay ka.
Imung obserbaran, Sir, sulod sa
us aka semana, duha ka semana
ug unsa gyuy dagan kay ug basin
ganahan ka maka-uli, Sir, ug
maayo-ayo na gyud ka ug dili na
mu-andar, naa man nay
posibilidad maayo. Niya mag-
ampo pud ta, Sir. Mutuo ba kag
ginoo, Sir? Mag-ampo pud ka,
Sir?



C: Oh. Every 6 in the morning
and 6 in the evening. Usa ko
matulog, mag-ampo ko. Unsa ko
mumata, mag-ampo ko.




Suggesting Collaboration



The student nurses intent in using
the suggesting technique should
be to provide feasible alternatives
and allow patients to explore their
values in their unique life
situation. The nurse can then
focus on helping the patient
explore the advantages and
disadvantages and the meaning
and implications of the
alternatives.

Bona: So mag-ampo gyud ta, Sir.

Kim: So, salamat sa panahon,
Sir. Thank you, Sir.


C: Salamat pud, Sir. Thank you.



Giving Recognition


Thanking the client in the end of
the conversation conveys respect
and shows that his efforts are
important to the student nurses.



Synthesis:


Our conversation with our patient revolved around establishing an atmosphere of acceptance, understanding, open communication and level
of trust and contract setting wherein we laid out our objectives and purpose of coming to take care of him during our Psyche rotation. The
contract setting is mutually beneficial. It is our objective that our patient will gain back his coping skills and be gainfully productive and
functional while, we the student nurses, gained the lived experience of taking care of patient with maladaptive behaviour and be of help in
guiding the patient lead a normal way of life.

We informed him that were coming every Friday morning, unless there will be changes, we will let him know ahead of schedule. Therapeutic
communication would last for 45 minutes and we expect him to be prepared for the conversation by doing his self-morning care, eating
breakfast, changed into clean clothes so we could start right away when we come and make the most of our limited time. We also informed
him that there would be times that apart from the regular 45 minutes conversation, we will have group activity for everyone with assigned
student nurses to interact among them. We give much emphasis of the importance of his participation and cooperation by sharing with us
what we will be asking for from him. Patient was informed that all information gathered would be dealt with utmost confidentiality. Only
people taking care of him will have access to the information like the doctor, nurses, our clinical instructor, and our classmates when we
present his case but rest assured your personal identity will be kept confidential. We will use pseudo name. Other health team members will
get to know if they directly involve in his care.

We also asked our patient his expectations from us and said none. Termination of our contract was also discussed with our patient. We had
our initial interview with our patient right after we had contract setting with him. We are glad our patient openly and elaborately shared with
us how it started. For a limited time, we already had an overview of how it started. We thank our patient for the time and we bid goodbye.


Bibliography:

Beck, C.K., Rawlins, R.P., & Williams, S.R. (1993). Mental-Health Psychiatric Nursing: A Holistic life-cycle Approach (3
rd
Ed). St. Louis, Missouri: Mosby
Stuart, G.W. & Laraia, M.T. (2013). Principles and Practice of Psychiatric Nursing (10
th
Ed). St. Louis, Missouri: Mosby

Townsend, M.C. (2014). Essentials of Psychiatric Mental Health Nursing: Concepts of Care in Evidence Based Practice
(6
th
Ed). Philadelphia: F.A. Davis Company

Varcarolis, E.M. (2002). Foundations of Psychiatric Mental Health Nursing: A clinical approach. USA: W.B. Saunders
Company

Videbeck, S. L. (2011). Psychiatric Mental Health Nursing (5
th
Ed) Philadelphia: Lippincot Williams & Wilkins